Keystone Podiatry

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

003843-1 Issued in NY

Legal business name

KEYSTONE PODIATRY

Practice address

3040 E Tremont Ave RM 101
Bronx, NY 10461-5733

Phone

(718) 931-9058

Fax

(718) 918-0004

NPI assigned

Jan 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lissette Cartagena

Title

Secretary

Phone

(718) 931-9058

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1649418567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E TREMONT AVE RM 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615733",
            "telephone_number": "718-931-9058",
            "fax_number": "718-918-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E TREMONT AVE RM 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615733",
            "telephone_number": "718-931-9058",
            "fax_number": "718-918-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "CARTAGENA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-931-9058",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "003843-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.